Active NPI
Anneta N. Osuchukwu, MD
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1124355854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL4411
- Practice address
- 8280 W Warm Springs Rd
Las Vegas, NV 89113-3612 - Phone
- (702) 492-8237
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL4411 | NV | Primary |
| General Practice Physician | 208D00000X | LL4411 | NV |
Addresses
Primary practice location
8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Mailing address
361 Roydale Ave
Las Vegas, NV 89183-3551
Phone (917) 627-8159
Other practice location 1
4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone (702) 852-2062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605002574 | NV | Order and Referring Only - Internal Medicine | 6305356791 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatry Inc | Current | Accepting new patients | |
| Treasure Health System | Current | Accepting new patients | |
| Treasure Health System | Current | Accepting new patients |
Locations
4310 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 763-7811
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- North Las Vegas, NV
- NPI 1497200299
-
- Clinic/Center
- N Las Vegas, NV
- NPI 1467095141
-
- Psychiatry Physician
- N Las Vegas, NV
- NPI 1710685672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1124355854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 ROYDALE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891833551",
"telephone_number": "917-627-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8280 W WARM SPRINGS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133612",
"telephone_number": "702-492-8237"
}
],
"practiceLocations": [
{
"address_1": "4310 W Cheyenne Ave",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890322484",
"country_code": "US",
"telephone_number": "702-852-2062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSUCHUKWU",
"first_name": "ANNETA",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "LL4411",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "LL4411",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.